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肝移植术后孤立性肾毛霉菌病:一例罕见病例报告

Isolated renal mucormycosis after liver transplantation:an unusual case report.

作者信息

Geramizadeh B, Kazemi K, Shamsaifar A R, Bahraini A, Nikeghbalian S, Malekhosseini S A

机构信息

Transplant Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Iran Red Crescent Med J. 2012 Jul;14(7):447-50. Epub 2012 Jul 30.

PMID:22997562
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3438439/
Abstract

Mucormycosis is a rare complication of immunosuppression. Most of the reported cases have been rhinocerebral or disseminated. Isolated renal involvement is extremely rare and until now less than 30 patients have been reported in the English literature. Isolated renal mucormycosis with renal artery rupture in a liver transplant patient has not been reported so far. Herein we report an extremely rare case of isolated renal mucormycosis in a liver transplant patient who was successfully treated with nephrectomy.

摘要

毛霉菌病是免疫抑制的一种罕见并发症。大多数报告病例为鼻脑型或播散型。孤立性肾脏受累极为罕见,迄今为止英文文献中报道的患者不足30例。肝移植患者发生孤立性肾脏毛霉菌病伴肾动脉破裂的情况迄今尚未见报道。在此,我们报告一例肝移植患者发生的极为罕见的孤立性肾脏毛霉菌病,该患者经肾切除术成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab64/3438439/d1522d2bd826/ircmj-14-447-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab64/3438439/5536f50017ae/ircmj-14-447-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab64/3438439/6388c0fb48dd/ircmj-14-447-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab64/3438439/d1522d2bd826/ircmj-14-447-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab64/3438439/5536f50017ae/ircmj-14-447-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab64/3438439/6388c0fb48dd/ircmj-14-447-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab64/3438439/d1522d2bd826/ircmj-14-447-g003.jpg

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本文引用的文献

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Zygomycosis in solid organ transplant recipients: a prospective, matched case-control study to assess risks for disease and outcome.实体器官移植受者中的接合菌病:一项评估疾病风险和结局的前瞻性配对病例对照研究。
J Infect Dis. 2009 Sep 15;200(6):1002-11. doi: 10.1086/605445.
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Hepatic and renal artery rupture due to Aspergillus and Mucor mixed infection after combined liver and kidney transplantation: a case report.肝肾联合移植后曲霉和毛霉混合感染致肝动脉和肾动脉破裂:一例报告
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[Isolated renal mucormicosis].
贝赫切特病伴双侧肾梗死,由毛霉菌引起。
Intern Med. 2022 Apr 1;61(7):1077-1083. doi: 10.2169/internalmedicine.7462-21. Epub 2021 Sep 18.
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Donor-derived renal allograft mucormycosis in a combined liver and kidney transplantation: Case report and review of the literature.供体来源的肾移植后毛霉菌病合并肝肾联合移植:病例报告及文献复习。
Transpl Infect Dis. 2021 Jun;23(3):e13534. doi: 10.1111/tid.13534. Epub 2020 Dec 14.
5
Role of Histopathologist in Liver Transplantation.组织病理学家在肝移植中的作用。
Int J Organ Transplant Med. 2017;8(1):1-6. Epub 2017 Feb 1.
[孤立性肾毛霉病]
Gac Med Mex. 2006 Nov-Dec;142(6):511-4.
4
Zygomycosis in solid organ transplant recipients in a tertiary transplant center and review of the literature.三级移植中心实体器官移植受者中的接合菌病及文献综述
Am J Transplant. 2006 Oct;6(10):2365-74. doi: 10.1111/j.1600-6143.2006.01496.x. Epub 2006 Aug 21.
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Primary renal zygomycosis due to Rhizopus oryzae.由米根霉引起的原发性肾接合菌病。
Med Mycol. 2006 Aug;44(5):461-6. doi: 10.1080/13693780500338951.
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Isolated renal mucormycosis: an unusual cause of acute renal infarction in a boy with aplastic anaemia.孤立性肾毛霉菌病:再生障碍性贫血男孩急性肾梗死的罕见病因。
Br J Radiol. 2006 Jul;79(943):e19-21. doi: 10.1259/bjr/17821080.
7
Isolated bilateral renal mucormycosis.孤立性双侧肾毛霉菌病。
Urology. 2004 May;63(5):979-80. doi: 10.1016/j.urology.2003.11.020.
8
Isolated fatal renal mucormycosis in a patient with chronic obstructive pulmonary disease and tuberculosis.
Int J Clin Pract. 2003 Dec;57(10):916-8.
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Renal zygomycosis: an under-diagnosed cause of acute renal failure.肾接合菌病:急性肾衰竭的一个诊断不足的病因。
Nephrol Dial Transplant. 1999 Nov;14(11):2720-5. doi: 10.1093/ndt/14.11.2720.